Individual provider · NPI-1
Adam Abdallah
Counselor, Addiction (Substance Use Disorder) · Eagle River, AK
NPI number1093385239
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1093385239
- Entity type
- Individual (NPI-1)
- Name
- Adam Abdallah
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
8012 Stewart Mountain DrEagle River, AK 99577-9013
Phone 907-694-8840
Mailing address
2600 Cordova St Ste 101Anchorage, AK 99503-2745
Phone 907-279-9640
Other practice locations
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Anchorage, AK 99503-2745
Phone 907-279-9640
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